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Assign Workwell to be Your Designated Medical Provider

Workwell Occupational HealthAssign Workwell as your designated medical provider for on-the-job injuries with your workers’ compensation insurance carrier. Just fill out the form below and a Workwell representative will contact you as soon as possible.

Company Name (required):

Address (required):

Phone (required):

Primary Contact (required):

Email (required):

Number of Employees:

Workers' Compensation Insurance Company:

Do you have a drug screening policy?

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